| NPI | 1467612499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL ANTONIO GUILLEN Medical Doctor 718-401-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 233234) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2020-05-28 |