| NPI | 1316203920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERILYN RE Practice Administrator 212-844-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 337212) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |