| NPI | 1053455998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LEON NISSENBAUM CEO 718-998-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 177636) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-04-08 |