| NPI | 1740825405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PATSY BOBDE President 914-527-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |