| NPI | 1447070685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES OKYERE Chief Financial Officer 914-708-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-12-16 |