| NPI | 1689033821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGPENG GU Owner 917-563-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 270433) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2021-08-30 |