| NPI | 1801037270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA RIVERA Director Of Billing And Office Serv 212-989-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 6696001A) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2018-09-21 |