| NPI | 1952681454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M PHILLIPS Physician 347-225-7380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 229021) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |