| NPI | 1811430507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MATARASSO Owner 212-249-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 142557) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |