| NPI | 1326389016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MAYER Associate Director Of Nursing 718-519-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 651453) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |