| NPI | 1629895107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC YECIES General Counsel 646-263-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-12-17 |