| NPI | 1205094562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM KUSHNERIK Surgical Director 718-422-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 217486) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |