| NPI | 1255878468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO SAMANIEGO President 516-775-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ 25MA08438900) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |