| NPI | 1972749984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON KUAN President 718-358-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 173042) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |