| NPI | 1689029316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA DE CAMPOS Administrator 646-215-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2025-11-04 |