| NPI | 1467749630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY Y CHU CEO 718-780-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY TUV006676) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY TUV006676) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2012-07-31 |