| NPI | 1265730030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTOSZ NIKICIUK Clinical Director 212-248-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 026282-1) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |