| NPI | 1215260427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA BROKOVICH Owner 201-800-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 600978) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 600978) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |