| NPI | 1912191917 |
|---|---|
| Former Legal Business Name | WOODSIDE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SAULIUS J SKEIVYS President 718-639-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 178908) |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2008-05-27 |