| NPI | 1427116367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SCOTT MARMOR Administrator Chief Operating Offic 718-629-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY 7001263R) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-12-16 |