| NPI | 1902120025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA G CALDERON Medical Director 718-569-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 255626) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-07-08 |