| NPI | 1700138310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HAROLD MARCEL-SAINT-LOUIS DE MERTINE Doctor 917-464-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 233842) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |