| NPI | 1891977344 |
|---|---|
| Doing Business As | THE STOREFRONT |
| Entity Type | Organization |
| Authorized Contact | BRANDON TREVOR HOWARD Internal Medicine 212-586-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 60246452) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: NY 60246452) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |