| NPI | 1457665788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA SCHNELL Manager 646-742-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QL0400X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2022-06-15 |