| NPI | 1053825893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH OLIVIERI Authorized Official 212-510-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207N00000X Dermatology | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |