| NPI | 1578844072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE LIU Manager 718-307-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 163W00000X Registered Nurse | |
| 171100000X Acupuncturist | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2015-05-23 |