NPI | 1629443353 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES SALVO Senior Vice President 718-240-6374 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 281467) |
Enumeration Date | 2015-12-07 |
Last Update Date | 2024-11-19 |