| NPI | 1508453507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M BARRERA CEO 347-494-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |