| NPI | 1700131372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KAUFMAN Medical Director 718-705-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 2387611) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 0478621) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |