| NPI | 1013960962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA HARTOFILIS Acting Director Of Billing 718-661-8711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 363A00000X Physician Assistant | |
| 207W00000X Ophthalmology | |
| 133V00000X Dietitian, Registered | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 235Z00000X Speech-Language Pathologist, | |
| 207P00000X Emergency Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-08-14 |