| NPI | 1790246148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO GUITEAU President 516-849-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-07-11 |