| NPI | 1922545953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE BLATTEIS President 732-672-1768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 000637-1) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |