| NPI | 1689039745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS MORLEDGE Owner 212-583-2830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NY 019049) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |