| NPI | 1922392588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRDAD HEDAYATNIA Director 718-833-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 251932) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2013-11-14 |