| NPI | 1659637247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERYNA PEREVOZNYCHENKO President 718-816-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 60-246539) |
| Enumeration Date | 2012-04-08 |
| Last Update Date | 2012-04-08 |