| NPI | 1073778916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERTON PROSPERE Medical Doctor 917-207-6792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 226783) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2009-04-17 |