| NPI | 1114245875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC S MOSER Owner 212-889-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY N003197-1) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |