| NPI | 1609126408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC SIEGEL Manager 212-532-1214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 168546) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |