| NPI | 1578903720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRAUN Administrative Manager 718-309-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 241048) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |