| NPI | 1053662692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA IOFFE President 347-782-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 26MA09109300) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2012-09-22 |