| NPI | 1780399196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FUCHS Owner 718-435-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-30 |