| NPI | 1104883990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE DANIEL BUFFA Medical Director 718-518-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 7000253R) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2011-04-26 |