| NPI | 1750456406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENA SIMPSON Director 646-680-2894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 196577) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-02-09 |