| NPI | 1588930325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIO J IPPOLITO Owner 914-332-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 086623) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |