NPI | 1780819540 |
---|---|
Entity Type | Organization |
Authorized Contact | MONROE KARETZKY Owner 718-583-9240 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NY 092766-2) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2011-10-12 |