| NPI | 1285947754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA E RODRIGUEZ-DAVID Medical Assistant 718-665-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |