| NPI | 1679697312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HOROWITZ Owner 718-226-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 60172766) |
| Additional Taxonomies | 2088P0231X (Licence: NY 60172766) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |