| NPI | 1669521308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITUS B OKUNLOLA Chief Medical Director 718-363-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 233011) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-04-22 |