| NPI | 1437516069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE OLUFUNKE ADEDUGBE Director 516-205-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 304978) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |