| NPI | 1508133232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KOGAN President 718-775-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 259336) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2024-04-23 |