NPI | 1629529508 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MALIS Administrative Coordinator, Mu 718-283-5694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 175663) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |