| NPI | 1104872134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT ESPOSITO Executive Director 718-226-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2012-09-17 |