| NPI | 1558532911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH FERDINANDO Medical Director 718-720-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |