| NPI | 1326204512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDYA M REDDY Director 718-251-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 231766) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2009-09-02 |