| NPI | 1942759154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA GABROVSKY CUELLAR Chief Executive Officer 917-744-7591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A134536) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |