| NPI | 1326424417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MOULTON-LEVY Owner 646-287-0734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 248077) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |