| NPI | 1558544585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ALICE STACKPOLE President 212-249-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 183489) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |