| NPI | 1518123405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART LARRY SAFTCHICK President 718-931-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 165660) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2009-06-08 |