| NPI | 1457907404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CAROTNEUTO Partner 646-462-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |