| NPI | 1003952235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS MARKOUIZOS President Owner 718-278-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: 170828) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: 170828) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-02-10 |