| NPI | 1699427336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ELAINE THORNTON Owner 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-12-19 |