| NPI | 1841441292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ROSE MCCRARY-ETUK Medical Director 718-266-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 240502) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-06 |