| NPI | 1992000640 |
|---|---|
| Other Name | STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KULRAVEE KEEGAN D.O. 718-817-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY F336467) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |