| NPI | 1891929311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE NUNEZ President 347-590-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 248239) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-05-12 |