| NPI | 1376704007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ELLEN PANES Physician/Owner 914-428-4748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NY 183672) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |