| NPI | 1386704989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMMAI BUNYAVANICH Attending 718-945-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 117347) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-02-19 |