| NPI | 1376773655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DANIEL ROBERTS President 718-275-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 112714) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2009-07-21 |