| NPI | 1235229667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN CLAUDE COMPAS Medical Director 718-636-8291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 141141) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |