| NPI | 1134395429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART J. MOGUL Owner 212-769-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 003587) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |