| NPI | 1417300922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAIHO LUM Medical Director 718-268-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 202905) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |