| NPI | 1699310292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN WOLINETZ Chief Financial Officer 718-722-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |