| NPI | 1992208144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN S. ZUCKERMAN Medical Director 718-423-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 6417) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |