| NPI | 1740586643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY SEWALD Medical Director 212-256-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 2511501) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |