| NPI | 1720276777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALINA KLETSMAN President 718-333-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 218828) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-04-15 |