| NPI | 1831426295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL LATORTUE Md 718-875-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 001137) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 001137) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |