| NPI | 1720643323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCCO FRANCO President And Sole Shareholder 718-570-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |