| NPI | 1487716015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL CARMEN RODRIGUEZ President 718-231-4334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 205766) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-08-24 |