| NPI | 1447509880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA SALOMON Registered Nurse 917-593-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 641401) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |