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 |