| NPI | 1851697999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GROSS President 516-822-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 112502) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-02-08 |