| NPI | 1790238673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCE M BARTHOLOMEW President/C Ep 718-483-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY F337635) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |