| NPI | 1518626449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO A NARVAEZ Medical Director 917-365-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-13 |