| NPI | 1992252720 |
|---|---|
| Doing Business As | ELA DOC TREE |
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL LOPEZ President 646-462-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2017-01-25 |