| NPI | 1053845099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WEISS President 347-542-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-02-03 |