| 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 |