| NPI | 1598770018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JONES Chief Financial And Administrative 212-620-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QR0207X Clinic/Center Radiology, Mobile Mammography |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-02-24 |