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 |