| NPI | 1497735880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RUDD NELSON Chief Executive Of Medical Director 212-924-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 178219-4) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |