| NPI | 1023295433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GREENE Pesident 212-348-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 012178-1) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |