| NPI | 1447674981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE PENNYPACKER Practice Administrator 212-226-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C127654) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-02-10 |