| NPI | 1730218363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOMINICK MCCARTHY President 718-317-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 211722) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |