NPI | 1356612824 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINALD DOUGLAS HUGHES President 917-862-2864 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 218738) |
Enumeration Date | 2012-01-16 |
Last Update Date | 2012-01-16 |