| NPI | 1770995763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART JAY LEVINSON President 212-308-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY PR049702-1) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2014-05-24 |