NPI | 1215813951 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES KELLY Medical Director 212-808-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-09-08 |