| NPI | 1689902058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD NICHOLAS MARINO President 718-816-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 007221) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |