| NPI | 1841788809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DIMITRIOS KOFINAS Medical Director 201-819-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY CORPORATION) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |