| NPI | 1689979163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENBERG President 917-648-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 214334) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |