| NPI | 1861479248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE BENITEZ Revenue Cycle Manager 212-987-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 7002172R) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 7002172R) |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2017-11-17 |