| NPI | 1588074330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIGNENDRA ARIYARAJAH Manager 267-694-7608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 12205390) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |