| NPI | 1003005083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL B PINKHASOV Medical Director 718-961-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 244694) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-04-10 |