| NPI | 1790964476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DOLORES BRIONES Medical Director 914-238-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 196119) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-11-20 |