| NPI | 1134654254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON BARKAGAN Medical Director 718-946-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 161539) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |