| NPI | 1750547907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M. COOKE Physician/Owner 212-213-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY A177212-1) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2011-05-04 |