| NPI | 1619172970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM DECORATO President 718-987-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QR1100X Clinic/Center, Research |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |