| NPI | 1447791132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZETA DUNCAN MOORE CEO 718-596-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 132006) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |