| NPI | 1174719496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANGQIN LI Director 631-751-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 240642) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |