| NPI | 1528149341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LUISA MANON Director Of Revenue Cycle 347-505-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 02249145) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2022-09-20 |