| NPI | 1619483633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LIPSMAN Provider 646-664-1891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 2057561) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |