NPI | 1629368790 |
---|---|
Entity Type | Organization |
Authorized Contact | ERROL PETER THOMPSON President 718-526-1839 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 3632) |
Enumeration Date | 2011-04-11 |
Last Update Date | 2011-04-11 |