| NPI | 1821594060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ZWEBEN President 646-294-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 174400000X Specialist |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-09-26 |