| NPI | 1265510200 |
|---|---|
| Other Name | PHS |
| Entity Type | Organization |
| Authorized Contact | TADEUSZ WITKOWSKI Attending 718-630-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NY 218442) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-10-13 |