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 |