| NPI | 1710306956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN XIAO LUO Managing Member 516-418-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 60261934) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |