| 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 |