| NPI | 1902113905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER B. LIEBERT President 212-369-8280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY 091245) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |