| NPI | 1104124981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P MATHEW President/Physician 718-343-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 225462-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225462) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-03-20 |