| NPI | 1760745236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARUZHAN DOVLATYAN CEO 201-390-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 3528) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |