| NPI | 1215265988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA YUSUPOVA Physician Assistant 917-209-5745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 1076588) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |