| NPI | 1710425913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG MILLER Senior VP Operations 718-369-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-12-30 |