| NPI | 1306113519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BERKOWITZ Owner 917-453-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 227527) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-17 |