| NPI | 1699059022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA ZABEZHANSKAYA Owner 718-332-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 180704) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |