NPI | 1528357654 |
---|---|
Entity Type | Organization |
Authorized Contact | MITCHELL ROY EPSTEIN President 718-258-7474 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 125438) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2011-03-29 |