| NPI | 1629334446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADY RIBEIRO Owner 814-933-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 240842) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |