| NPI | 1730402074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WONG HERMOGENES President 718-847-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 188841) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |