| NPI | 1316261563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SUN Physician 718-357-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 250883) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |