| NPI | 1821765140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO VENEGAS-PIZARRO Medical Director 347-524-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |