| NPI | 1104163641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R ROSENSTOCK Medical Director/CEO 718-238-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2017-09-14 |