| NPI | 1215331640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J JABILE President 718-204-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 267766) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |