| NPI | 1326891938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELI YAKUBOV President 718-757-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |