| NPI | 1871025163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA AINSLEY LAMPERT President/Medical Director 917-558-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |