| NPI | 1457563645 |
|---|---|
| Doing Business As | NORTHRIDGE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARIA L WING President 914-235-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 161772) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |