| NPI | 1477601383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ J GACEK Medical Director 718-961-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 238703) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |