| NPI | 1982840765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BOGINSKY Medical Director 718-517-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 215383) |
| Enumeration Date | 2008-12-27 |
| Last Update Date | 2008-12-27 |