| NPI | 1235282971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD SAM AUDIGE Attending Physician 212-932-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 153323) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |