| NPI | 1992957682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALLAN SHAPS Director 718-761-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 119659) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |