| NPI | 1174673446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERITA PIERRE LOUIS President Attenting 718-531-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 195497) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |