NPI | 1902265192 |
---|---|
Entity Type | Organization |
Authorized Contact | NADJA LOUIS JAQUES Staff Physician 516-782-6728 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY F336938) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |