| NPI | 1447542600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUANCONG WANG Proprietor 718-886-3877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 229200) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |