| NPI | 1750690806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEYMIN GUILLERMO HAGO President 646-688-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 258181) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |