| NPI | 1558435974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ JOZEF GACEK Medical Director 718-897-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 238703) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-03-19 |