| NPI | 1275752768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M MADDEN Nurse Practitioner 212-731-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NY 334832) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |