| NPI | 1922316447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINETTE FELECITA FRANCIS Staff Nurse 718-918-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 355282) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |