| NPI | 1457656381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PONCE Office Supervisor 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY 0386071) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |