NPI | 1558878835 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN LAM Member 917-232-4537 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 248451) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2022-09-04 |