| NPI | 1033478995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY Z AWAD Medical Doctor/CEO 917-771-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 262348) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |