| NPI | 1992188981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLSON HECTOR Owner/Senior Physician 718-345-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 234127) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |