| NPI | 1114112497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G DOWLING Director 914-377-4668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 7000006H) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |