| NPI | 1992073068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E. MEMOLI Owner 718-597-6250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 106200) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2023-03-07 |