| NPI | 1891954962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ARDEN RADWANER Owner 212-717-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NY 150577) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2023-11-15 |