| NPI | 1619412988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN P PERNIER Medical Director 718-629-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 157407-1) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |