| NPI | 1801331392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR RAFAEL RODRIGUEZ NAVARRO Director 718-681-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 152348) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |