| NPI | 1619168564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L GRUBER Physcian 917-270-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology (Licence: NJ MA025010) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: NY 098755) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-08 |