| NPI | 1316259831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEONGPAN SI President 718-436-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 234283) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |