| NPI | 1588987234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA STREETE-SMALLS President 917-693-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 218731) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |