| NPI | 1114127586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARROLL Chief Medical Officer 718-250-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |