| NPI | 1558534289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA RAYTSES Medical Director 718-275-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 215157) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |