| NPI | 1871844613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YABERCI PEREZ-CUBILLAN Clinic Director 212-781-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 086486-1) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |