| NPI | 1366396723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIPPORAH OPAREBEA NUKUNU Director 914-616-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-02-24 |