| NPI | 1962789933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH EHRLICH President 516-295-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 004077) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |