| NPI | 1477987618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY BARNES Licensed Practical Nurse 212-545-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 313916) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |