| NPI | 1699325308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON ENRIQUE MORBAN SANTOS President 917-736-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |