| NPI | 1780943845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA SANDERS President 718-980-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 240200) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2013-07-03 |