| NPI | 1689981094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MARTINEZ Family/Internal Medicine 718-220-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 212049) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |