| NPI | 1902120025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR D REYES Adm 718-569-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 255626) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2026-03-23 |