| NPI | 1003188020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GORDON COO 646-217-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 163293) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2014-05-22 |