| NPI | 1356733224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHARLES CHOTKOWKI Medical Director 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 440777) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |