NPI | 1124362967 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK RICHARD MANKOFF President 212-722-4983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 092450) |
Enumeration Date | 2012-11-17 |
Last Update Date | 2012-11-17 |