| NPI | 1053095265 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MARIE MYRTHA GREGOIRE-BOTTEX Managing Member 914-462-7411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-12-29 |