| NPI | 1265978365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIN QIU President 646-201-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY NY198620) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |