| NPI | 1205067774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GILBAN President 917-743-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 206109) |
| Enumeration Date | 2009-08-02 |
| Last Update Date | 2009-08-02 |