| NPI | 1699103721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUNMI ABIYE BOLAJI Owner 718-795-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 254613) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |