| NPI | 1972753481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE E REID Physician 718-272-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY R048594-1) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |