| NPI | 1245931864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOFENG LI President 347-904-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |