NPI | 1104142082 |
---|---|
Entity Type | Organization |
Authorized Contact | LEONARD J MARCHETTA Physicians' Assistant 718-948-5475 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 191751) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2010-04-16 |