| NPI | 1689366205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONA JANE TAJONERA CEO 347-298-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |