NPI | 1265477137 |
---|---|
Entity Type | Organization |
Authorized Contact | SUDHAKAR REDDY METTU President 914-968-3535 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 158051) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2008-04-16 |