| NPI | 1508033564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY GRIFFITHS Sr. Director Of Provider Relations 914-294-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 2559-154) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2025-03-12 |