| NPI | 1912253592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIQUE AMBER DESIRE-BRISARD President 718-373-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 333149) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-14 |