| NPI | 1073652467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANTHONY MALONEY Medical Officier 718-980-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY NY128904) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |