| NPI | 1386911691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY NGAI Physician 718-513-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 253523) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 248891) |
| 261QP2300X Clinic/Center, Primary Care (Licence: NY 250958) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-12-15 |