| NPI | 1699065003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. LOUIS Director 718-327-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 231883) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2016-02-25 |