| NPI | 1699901280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DIAZ Office Manager 212-749-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 000462) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |