| NPI | 1184657355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE SELBY Director Of Patient Accounting 718-488-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-06-27 |