NPI | 1538679659 |
---|---|
Former Legal Business Name | ARETE PHYSICIAN MANHATTAN LLC |
Entity Type | Organization |
Authorized Contact | KRYSTAL M MCKENNA Administrator 718-362-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NY 280380) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 280380) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2017-10-09 |