| NPI | 1174873780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LILIANA RODRIGUEZ Administrator 917-281-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2025-11-04 |