| NPI | 1497078554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANCARLO R GUIDO Director 718-220-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 233015) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |