NPI | 1871672980 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA SUPONYA President 718-238-8373 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 229325) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2020-08-22 |