| NPI | 1992903389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHANI CHINNIAH MORENO Interim Chief Executive Officer 212-367-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-11-04 |