| NPI | 1285913707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENNEE ANN ALEXANDER Field Supervisor 914-320-5681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 357676-1) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |