| NPI | 1043997554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA G DUPLAN Chief Executive Officer 646-241-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-11-21 |