| NPI | 1750396511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDEANA MORQUITA WILLIAMA President 718-604-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY F332834) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |