| NPI | 1760750954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAANA VIVECA REHNSTROM President 212-366-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 167336) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |