| NPI | 1679937205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JOSEPH MULLEN President/CEO 646-729-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 31845) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2016-04-10 |