| NPI | 1982077079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA THOMAS President 718-987-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 213224) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |