| NPI | 1326312802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR ONESIMO PEREZ President 646-761-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 241980) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |