| NPI | 1760884134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN N EDEN Pediatrician 718-261-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 074400) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |