| NPI | 1306807417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANA E. GELBFISH Owner 718-258-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 150668) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-02-14 |