| 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 |