| NPI | 1871727834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR MOLIVER President 212-795-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 210590) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NY 213232) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-10-05 |