| NPI | 1609249838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SHULMAN Program Director Howard Beach Clini 718-738-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 095613) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |