| NPI | 1255595559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERSON M MATEO President/ Owner 201-478-0394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 24900-1) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |