| NPI | 1457523136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE CASTON Practice Manager 914-734-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |