| NPI | 1174871685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ADEN President 212-481-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 237639) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |