| NPI | 1407116734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO CRUZ LAIZ President 914-636-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 183891) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |