| NPI | 1598174195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB GEBRAEL Owner 201-893-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 260144) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |