| NPI | 1437346095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YA JU CHANG Owner 212-334-9591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 217510) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 207546) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2011-09-13 |