| NPI | 1609493162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA RAKHMAN CEO 203-707-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |