| NPI | 1871821249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL M CRUZ Social Worker 212-305-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 066885) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |