| NPI | 1588812929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FITZGERALD ALCINDOR Owner/Physician 516-489-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 195447) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |