| NPI | 1033662127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRICO FAZZINI Owner 212-983-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 157518) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |