| NPI | 1790870962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLA SOKOLSON Office Manager 718-743-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 207138) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-12-17 |