| NPI | 1417244302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI REN Chief Executive Officer 718-886-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 254738) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |