| NPI | 1679950596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNAMDI MADUEKWE Medical Director 646-286-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 244833) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-09-14 |