| NPI | 1700023637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MALARA Director 718-817-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 331345) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |