| NPI | 1558991570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILUFER GULEYUPOGLU Medical Director 646-679-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |