| NPI | 1639487325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE ANGELIQUE BROWN President 718-388-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 012371) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2010-09-16 |