| NPI | 1790975985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J MCGEE Owner 718-997-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 165086) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |