| NPI | 1811351307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CARITAS CALLAHAN Senior Manager, Director Of Outpati 718-860-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY P056639-1) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |