| NPI | 1063636504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LEFKOWITZ Billing Manager 718-782-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 123389) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-07-22 |