| NPI | 1023247046 |
|---|---|
| Doing Business As | EASTSIDE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DINNA GENER Credentialing Representative 212-699-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2010-04-22 |