| NPI | 1457501082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERN SCOTT KOO President 718-357-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 221288) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |