| NPI | 1750717963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MICHAEL GLASSMAN Owner 201-836-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 158955-1) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |