| NPI | 1235762899 |
|---|---|
| Doing Business As | EL SOCORRO MVDS |
| Entity Type | Organization |
| Authorized Contact | JANIL CRUZ Office Manager 212-567-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-05-11 |