| NPI | 1477168870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI L KOHN Assistant Vice President 718-920-6080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |