| NPI | 1962662890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE M SCHEIM Owner 718-261-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 236378) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2010-07-15 |