| NPI | 1992941702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE KARKUS CEO 212-289-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 7002190R) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 7002190R) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2022-02-11 |