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 |