| NPI | 1598065500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER ROJAS Owner 631-840-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |