| NPI | 1285984062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUDMILLA BRONFIN Manager 212-532-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 199889) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-12-28 |