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 |