| NPI | 1912184524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E. MAZURE President 212-758-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY C003271-1) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-10-31 |