| NPI | 1922270883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA PETITO Physician Assistant 212-249-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 009911) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |