| NPI | 1073892162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR CHARLES GOLDBETTER Executor 718-759-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 187344) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |