| NPI | 1366064578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN T LEMAIRE Owner 917-683-4937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |