| NPI | 1942585278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TRAN Pharmacist 718-367-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care (Licence: NY 012345678) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |