| NPI | 1376926626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIAN YE CEO/President 917-361-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A10714) |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2015-09-10 |