| NPI | 1174787675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYA RAYKHER President 718-421-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 211342) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2012-02-17 |