| NPI | 1386975837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE SHEAR Physician 212-472-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 140666) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |