| NPI | 1164614590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARYEL NICOLEAU Medical Doctor 718-465-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 141741) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-02-01 |