| NPI | 1033351283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ELLIOT WEISSBLUTH Owner 718-934-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 166454) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |