| NPI | 1063781698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN S KOROVIN Doctor 212-879-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 163850) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2011-12-28 |