| NPI | 1326435819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY LUNA President 347-302-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 212452) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |