| NPI | 1699055541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAN MOSHE Owner/Manager 212-795-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 23264) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |