| NPI | 1669715702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE SUNWOO President 855-529-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 265554) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-08-23 |