| NPI | 1891063491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN D METZL President 212-606-1678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 210811) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |