| NPI | 1841500469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN U. CARVAJAL President 718-733-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 150807) |
| Enumeration Date | 2010-10-16 |
| Last Update Date | 2010-10-16 |