NPI | 1073752531 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN NICHOLAS LAZARE Physician 212-426-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 032239) |
Enumeration Date | 2009-02-06 |
Last Update Date | 2009-02-09 |