| NPI | 1275704108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASSIOS KYRIAKAKOS President 718-329-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY F380500) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2016-03-29 |