| NPI | 1184855116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUNG TINT WAI Director 718-439-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 238056) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |