| NPI | 1043762404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNHO LEE Md 718-353-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 166634) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 166634) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2023-05-12 |