| NPI | 1003250762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL A. NICHOLEAU Owner 718-344-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-08-26 |