| NPI | 1104274901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON RADHAMES PICHARDO President 718-492-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 213773-1) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 213773-1) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |