| NPI | 1205183217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELBERT K ST. CLAIRE CEO 347-307-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 243334) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |