| NPI | 1003022336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD CHARLES Administrator 718-824-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |