| NPI | 1932649654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKECHI NWOGA Director 646-415-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: SC 4093) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2023-08-01 |