| NPI | 1649576729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN-TSAI TSAI President/Chief Executive Officer 347-819-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 003412) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |