| NPI | 1083884829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD I LEICHMAN Medical Director 646-778-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-10-08 |