| NPI | 1487769782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASQUAL GETANEH Owner 917-647-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 209810) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |