| NPI | 1124290291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNIE HOBENSON Medical Director 917-705-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 210050) |
| Enumeration Date | 2008-03-29 |
| Last Update Date | 2023-03-22 |