| NPI | 1053667394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED ABRAHAM Physician 718-659-7166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 231106) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 107354) |
| 208600000X Surgery (Licence: NY 153485) | |
| 207R00000X Internal Medicine (Licence: NY 118770) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-05-06 |