NPI | 1689862500 |
---|---|
Entity Type | Organization |
Authorized Contact | JEAN PRATT DANIEL Owner 718-209-6132 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 211396) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2007-10-11 |