| NPI | 1215939186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER F HASSAN President 718-332-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 7001285R) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-11-04 |