| NPI | 1912304577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA RAMPERSAUD Medical Director 718-684-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 535404) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |