| NPI | 1942645247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHANNA MARIA OLIVO MERCEDES Md 347-204-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 266860) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-09-29 |