| NPI | 1538458252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA LIKHT Physician Assistant 646-436-9837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: NY 009099) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |