| NPI | 1760624282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIJINATH CHAKOTE Dr. 718-634-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 189449) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |