| NPI | 1275879355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MCQUAID Owner/Manager 917-566-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NH 049930-23) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |