| NPI | 1144231226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD D STARK Medical Director 212-366-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: NY 2247351) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-02-22 |