| NPI | 1881922821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HIDALGO Social Worker 212-305-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 069020-1) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |