| NPI | 1568474278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT ZUCKMAN President 718-361-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 174617) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-09-14 |