| NPI | 1821363714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELIN ANTOINE BELAMY Officer 718-927-1355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 204828) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |