| NPI | 1073744728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH H CAPALBO Owner/Physician 718-892-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 073552) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-01-13 |