| NPI | 1457605669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON LIPETZ Medical Director 718-275-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 186190) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |