| NPI | 1659623858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL APONTE President 718-828-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2013-04-03 |