| NPI | 1306061890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL REISMAN Administrator 718-828-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 50009328) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-11-13 |