| NPI | 1093759326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PAROLISI Medical Biller 718-849-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 172844, 171010) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-01-14 |