| NPI | 1114232311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE ANN MARAJ Administrator 718-933-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 7000267R) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |