| NPI | 1467307587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEETA MARIA STEPHEN Legal And Compliance Associate 917-728-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |