| NPI | 1821012576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN L LEE Primary Care Physician 718-748-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 132304) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-09-04 |