| NPI | 1851554851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE GEORGE HITZEMAN Medical Director 212-337-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 206313) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |