| NPI | 1891450797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUVEN BLOBSTEIN Owner 917-586-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |