| NPI | 1184980708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY MITCHEL MITCHEL Principal 718-528-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY 477149) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |