| NPI | 1265154991 |
|---|---|
| Doing Business As | CLINICA LATINA IRVINGTON |
| Entity Type | Organization |
| Authorized Contact | HERMEZ D HERNANDEZ ALFONSO Owner 772-584-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |