| NPI | 1821443805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON SCRIMMAGER Owner 212-249-1627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 184535) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |