| NPI | 1215146949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA KHANDROS Medical Director 718-265-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 228243) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-07-22 |