| NPI | 1285040568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B BLEYER Principal 212-210-6237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 223699) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |