| 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 |