| NPI | 1609952043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFUNMILAYO O ADEYANJU Medical Director 347-202-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 236764) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |