| NPI | 1851539514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA LEMPERT President 347-633-3704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 244026) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2010-05-27 |