| NPI | 1871504142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MILTON STOKES Owner 917-697-7614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CT 000764) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |