| NPI | 1932331071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANTHA KONDAMUDI Chairman & Program Director Of Fm 718-250-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 253900) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NY 253900) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |