NPI | 1598181513 |
---|---|
Entity Type | Organization |
Authorized Contact | WILKINS WILLIAMS Medical Director 917-553-0982 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 150211831) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-04-01 |