| NPI | 1639496771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWONIYI OLUMIDE AWONUGA Director 347-254-5772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MI 4301089357) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |