| NPI | 1710497466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSE D. CLEMONS FERRARA President & CEO 877-436-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 150089) |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |