| NPI | 1669571675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN BUTTERMAN Medical Director 718-265-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 523006) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |