| NPI | 1245657055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE C FRANCISQUE- ST. VICTOR Provider 718-240-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-06-26 |