| NPI | 1295902468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS MANUEL PICHARDO Pediatric 718-456-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 188066) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-04-16 |