| NPI | 1871782979 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | VERONIQUE CAMILLE Physician Assistant 718-920-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 005039) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |