| NPI | 1124499066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C. CHOTKOWSKI Medical Director 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY Cert# 440777) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |