| NPI | 1114098373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKTORIYA ALEKSANDROVICH Director 718-645-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 230654) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2008-07-29 |