| NPI | 1649656018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN KHODADADIAN Partner 212-533-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 236127-1) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |