| NPI | 1073696381 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EVELYN OPOKU Director Of Pediatrics 718-963-7956 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 179427) | 
| Enumeration Date | 2006-10-23 | 
| Last Update Date | 2020-08-22 |