| NPI | 1053379362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS PEREZ Director 718-265-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207RN0300X Internal Medicine Nephrology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-01-05 |