| NPI | 1740492347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR BIENVENIDO FLORIMON DE LA ROSA Medical Director 718-898-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 189653) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2021-04-07 |