| 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 |