| NPI | 1619428877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO HERNAN VELARDE-LASSO Physian 516-353-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ME125796) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 226893) |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: FL ME125796) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |