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