| NPI | 1922409754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN SVEILICH Medical Director 917-525-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 5095) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |