| NPI | 1265683916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE H. GRANT President 914-524-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 161056) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2008-09-30 |