| NPI | 1548423874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA SANCHEZ-SPEACH Physician 888-263-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 184561) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |