| NPI | 1427302397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN DOFT President 212-600-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 2394161) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 050794) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |