| NPI | 1568771525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LI Owner 718-888-9829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 214851-1) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |