| NPI | 1265476907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SALVO Senior V Ice President 718-240-5811 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-10-13 |