| NPI | 1306608815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BARRY Owner 646-417-4853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |