| NPI | 1922303387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD HUGHES President 718-951-0484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 2187382) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 0016092) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 1033449319) | |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |