| NPI | 1750751145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY PARKINSON Chief Medical Officer 844-283-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 245865-1) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |