| 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 |