| NPI | 1629232616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRICK E ANTELL President 212-988-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 161860) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |