| NPI | 1548695224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA S KURIAN CEO 855-587-4261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 211000) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |