| NPI | 1689059222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GOLDIN Administrator 718-253-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 7001800R) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2016-12-09 |