| NPI | 1558877068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA BLOOMGARDEN President 646-265-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME116270) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |