| NPI | 1578710588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA GUPTA Physician 718-897-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 186054) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-03-26 |