| NPI | 1992975304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM OSTAD Owner 718-258-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 113668) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 113668) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |