| NPI | 1215095526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L COHEN President 6127-312-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MA 29458) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |