| NPI | 1811128564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARAN DEGENHARDT Medical Director 212-366-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 234008) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |