| NPI | 1750423885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P. ROSEN President & CEO 718-206-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NY 7003003H) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |