| NPI | 1457795981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR L COTTO Vice President 347-231-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 33200000X) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-09-13 |