| NPI | 1700942406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY KATECHIS Physician 718-204-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 237602) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-10-09 |