| NPI | 1003154295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRICK E ANTELL Medical Director 212-988-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 161860) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |