| NPI | 1912936857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SABLESAK VP Of Operations & Clinical Quality 646-742-8801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QL0400X Clinic/Center, Lithotripsy | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2022-06-30 |