| NPI | 1205697737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIE DADUSH Owner 646-351-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 261QM2500X Clinic/Center Medical Specialty | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-07-08 |