| NPI | 1558702225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RODRIGUES VITALE President 516-680-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA09281600) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |