| NPI | 1174089056 |
|---|---|
| Doing Business As | CITYMD |
| Entity Type | Organization |
| Authorized Contact | MARLENA SIMPSON VP, Credentialing 516-453-0435 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |