| NPI | 1780834739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD FRITZ KEROLLE President 718-434-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center Corporate Health (Licence: OK 189432) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |