| NPI | 1790080919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MAITLAND Physician 914-631-3283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 219055) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 219055) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2012-06-14 |