| NPI | 1245304203 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | FRED ONG KHO Developmental Pediatrician 718-960-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 143979) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |