| NPI | 1225492150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNY RODRIGUEZ President 862-591-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 242152) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |