NPI | 1104270677 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC DAVIS TAYLOR CFO 212-444-5218 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV 973DL) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 973DL) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2016-04-20 |