| NPI | 1194979203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND K KWAN Officer 212-734-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 60188359) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |