NPI | 1477888980 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMIA TAYAB CEO 718-622-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 212345) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 217560) |
Enumeration Date | 2009-10-16 |
Last Update Date | 2009-10-16 |