NPI | 1306050893 |
---|---|
Entity Type | Organization |
Authorized Contact | ARIETA PAMELA SMITH Clinicnurse 718-436-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 239996) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 239996) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |