| NPI | 1194032433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SELTZER President 718-684-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY x009451) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |