| NPI | 1184075855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SOLOMON Self 201-569-2027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 165929) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |