| NPI | 1245723766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A MARKLAND Owner 347-879-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F340170-1) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2024-01-16 |