| NPI | 1891091757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO RONQUILLO ROMAN President 718-657-8306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 185214) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |