| NPI | 1104018902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER WOODS Group Director 718-780-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-06-18 |