| NPI | 1730575655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT GRAY President 212-684-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 166679) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |