| NPI | 1811347404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VUTRANO Chief Financial Officer 718-963-6702 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |