NPI | 1164791190 |
---|---|
Entity Type | Organization |
Authorized Contact | SUDHA R SHAH President 718-252-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 133672) |
Enumeration Date | 2011-12-20 |
Last Update Date | 2012-02-07 |