| NPI | 1730522848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MOLINA Owner 718-220-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-12 |