| NPI | 1629443353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SALVO Senior Vice President 718-240-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 281467) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-05-24 |