| NPI | 1760521959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OXANA POPESCU Officer 917-627-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 238747 1) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-10-17 |