| NPI | 1043200439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A SAINT-LOUIS Medical Director 212-697-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X (Licence: NY 156266-1) |
| Additional Taxonomies | 2085N0700X (Licence: NY 1562661) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2011-03-14 |