| NPI | 1497033500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVIS HARJA Fwllow 917-536-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |