| NPI | 1346665304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMELE WHITE President 347-915-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 256758-1) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |