| NPI | 1629495601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SCHIEBERT President 718-667-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 257063) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |