| NPI | 1942795943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRAUN Director Of Rcm 718-309-3321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-02-26 |