| NPI | 1053672162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZALMAN STAROSTA Doctor 718-943-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 015438-1) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |