| NPI | 1104104884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN RUSH Assistant Com MIS Sioner 718-999-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |