NPI | 1548041932 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH SCOTT Executive Director/President 917-592-3443 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2023-10-11 |
Last Update Date | 2023-10-11 |