| NPI | 1063685402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO FARCON President 212-263-7018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 121472) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-06-27 |