| NPI | 1942426408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH M BRATHWAITE President Medical Director 917-458-5997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X (Licence: NY 197828) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |