| NPI | 1609949668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY ELIE LAQUINTE Primary Care Pa 212-663-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 010988) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |