| NPI | 1962844050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH SEGOVIA Social Worker 718-267-2420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: NY 081917) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |