| NPI | 1073102778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER WOJCIECH PASTUSZAK Chief Medical Officer/Owner 929-388-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2024-02-08 |