| NPI | 1033401807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J MOLEY Doctor 212-606-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 221024) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |