| NPI | 1114176864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY DELERME-PAGAN Attending Physician 718-484-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 198983) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-01-25 |