| NPI | 1073155578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE SMITH CEO/Principal 646-642-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |