| NPI | 1225262173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MESSINA-SANTIAGO Owner 516-771-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 238507) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2025-07-03 |