| NPI | 1437601325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE RICHARD President 347-512-1716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 157428) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |