| NPI | 1659256915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE NGUYEN Chief Program Officer 212-845-3863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208000000X Pediatrics |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |