NPI | 1972632420 |
---|---|
Entity Type | Organization |
Authorized Contact | VERONIKA ROMASHOVA President 1917-836-5296 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 240566) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2008-04-16 |