NPI | 1295249100 |
---|---|
Entity Type | Organization |
Authorized Contact | OSKAR A GAWEDA Provider 917-513-1374 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 264565) |
Enumeration Date | 2017-11-30 |
Last Update Date | 2017-11-30 |