| NPI | 1780810150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HAFTEL Owner/President 917-886-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 203113) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |