| NPI | 1538575857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDY DESORMEAUX M.D. 914-509-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 250020) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-09-24 |