| NPI | 1902963838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ALETHEA FOSTER Staff Physician 718-956-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 205340) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |