| NPI | 1952853756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC PERLSON Owner 914-238-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY vut003123-1) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |