| NPI | 1316718646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMAN RUTENBERG Manager And Member 917-414-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |