| NPI | 1417361122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CORAZON COE President 718-545-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 003935) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |