| NPI | 1043662240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE SCHLEGEL Practice Administrator, 212-746-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 097260) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |