| NPI | 1659692812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER BALDONADO President 347-825-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 271367-1) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-07-09 |