| NPI | 1104182880 |
|---|---|
| Doing Business As | VILLAGE TRAVEL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JERRY CLEMENTS President 212-477-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 166998) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |