| NPI | 1033507546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY R. COLEMAN Owner 212-571-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 001844-1) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |