| NPI | 1194062380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA M LIVITS Partner 347-742-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 153171-1) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |