| NPI | 1871850784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN C GOLDSTEIN Administrator 917-294-1611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NJ 25MA04644800) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |