| NPI | 1851600019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENY PRIMM Executive Director 718-260-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: NY 012707) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-03-24 |