| NPI | 1700202975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL GELIN Director 516-567-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 192203) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |