| NPI | 1922006725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LANGMAN Medical Director 718-821-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 193881) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |