| NPI | 1104133792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE KWANG HONG Owner 718-886-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 200108) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-11-19 |