| NPI | 1972900264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN SPELLMAN Medical Director 212-410-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY AAAASF Cert # 3876) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |