NPI | 1972598621 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAL FREJKA Chief Operating Officer 212-726-7490 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 221459) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2013-12-31 |