| NPI | 1215209713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H SCHULMAN President 718-436-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 108841) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2012-05-03 |