| NPI | 1558529610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER A MCKENZIE President 718-613-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 180953) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |