| NPI | 1619290160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWRENCE CHIARAMONTE Medical Director 212-666-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 093763) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-11-13 |