| NPI | 1205101649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MACDONALD INGRAM Principal 917-903-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: NY m234567) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |