| NPI | 1518493717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CHOTKOWSKI Medical Director 212-838-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 440777) |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |