| NPI | 1750786562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERANIKA SKRYPSKAYA Credentiling Person 212-791-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 230045) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |