| NPI | 1346542081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J TRICARICO President 718-748-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 118172) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2013-01-30 |