NPI | 1205105004 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL WERZBERGER President 718-972-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2011-12-22 |
Last Update Date | 2025-07-01 |