| NPI | 1619398542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRIAR DANESHVAR CEO/Administrator 718-933-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2015-06-10 |