| NPI | 1376914796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SHIFRIN Administrator 718-375-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 202259) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2017-05-09 |