| NPI | 1043451115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN WEISS Medical Director 212-838-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 235963) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2014-01-17 |