NPI | 1942339221 |
---|---|
Doing Business As | SEL MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | KARL E. LATORTUE Owner 718-875-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 199824) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2011-09-21 |