| NPI | 1609873116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS XAVIER MONCK Administrator 718-369-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 7001244R) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |