| NPI | 1699959072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L. LLAURADO President/CEO 718-652-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 021098-1) |
| 305S00000X Point of Service | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-11-01 |