| NPI | 1033427000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA V MASHENSKY President 718-998-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223084) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X00408362) |
| 225100000X Physical Therapist (Licence: NY 029079) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2012-01-05 |