| NPI | 1124419387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M GREENFIELD Owner/Operator 646-256-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY XOO7372) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |