| NPI | 1083048151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY WILLIAM HUNTER Owner/Medical Director 212-203-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |