| NPI | 1881914240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDANIS VERTUS Medical Director/ Owner 718-953-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 198949) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |