| NPI | 1871897850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORBERTO ISRAEL TORRES-OTERO President 914-592-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 214525) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2012-03-26 |