| NPI | 1053415661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV J. PAUKMAN, M.D. Medical Director 718-376-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-08-01 |