| NPI | 1881951234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DIGIOVANNI President/CEO 212-879-1705 |
| Organization Subpart ? | |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY CERT# 4389) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |