| NPI | 1275877128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL G NODELMAN President 718-891-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 152116) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2013-02-27 |