| NPI | 1003120619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA DOCHIM Manager 212-666-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 093763) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 093763) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |