| NPI | 1780747485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE THOMAS Pharmacist 718-583-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 024599) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-09-18 |