| NPI | 1154527281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL TODD SMITH President 212-396-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 194625) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 194625) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-07-16 |