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 |