| NPI | 1013085166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTIN PERTSOVSKY Medical Director 718-372-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 214845) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-06-17 |