| NPI | 1144399098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTIN ZUSMAN Administrator 718-336-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 7001108R) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-11-24 |