| NPI | 1427468834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHARETTE Clinical Nutrition Manager 718-918-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 994173) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-12-09 |