| NPI | 1184807984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAISA MITELMAN Solo Practician 212-420-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 216887) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |