| NPI | 1891963476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA POROGER Medical Dirtector 718-984-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 228891-1) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-17 |