| NPI | 1063458560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZA ISRAEL Partner 718-743-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 221146) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 214292) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-12-19 |