| NPI | 1316276868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M GLASS Owner 718-996-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 139939) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |