| NPI | 1114950490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN F CRUZATTE Attending Physician 718-851-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 171095) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |