| NPI | 1619912052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LEE M.D/Attending Physician 718-686-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 129364) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |