| NPI | 1861525875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINORAH RUIZ Office Manager 212-986-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 136189) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-11-06 |