| NPI | 1952834343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B EDWARDS Chief Financial Officer 212-886-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |