| NPI | 1932487154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO A CAESAR Owner 347-893-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 138922) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2020-02-01 |