| NPI | 1962563858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE BUSCH Ms 212-562-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY F 381181-1) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |