| NPI | 1396982807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT LAUTIN President 212-535-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 112817-1) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |