NPI | 1134300999 |
---|---|
Doing Business As | FULTON AVENUE HEALTHCARE |
Entity Type | Organization |
Authorized Contact | DIANE S HARPER Co Owner 516-385-2920 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY F300692) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2008-06-23 |