NPI | 1497064125 |
---|---|
Entity Type | Organization |
Authorized Contact | GENNADIY A GRIGORYAN Senior Officer 212-206-1610 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 233129) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2010-09-29 |