| NPI | 1922287697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUNG MAUNG Director 718-461-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 200276) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2012-11-06 |