| NPI | 1013699479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE K LEE Owner 718-321-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |