| NPI | 1952666489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA E KINGSTON RN 718-345-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 420684-1) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |