| NPI | 1285794024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G OBRIEN Medical Director 718-367-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 210513) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-02-12 |