| NPI | 1821316464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GROSS Doctor 212-529-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 29013) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |