| NPI | 1053477448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE THOMPSON Sole Member 914-202-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 212150-1) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |