| NPI | 1255663001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE LAURIE ALEXANDER-THOMAS Medical Physician 718-727-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 173779) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2010-02-04 |