| NPI | 1396785895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAS WAIZER Chief Operating Officer 212-366-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 6287020A) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-04-04 |