| NPI | 1851727317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERAN SEVENISE HILL Fnp 718-527-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 333879) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-18 |