| NPI | 1124170212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN F ADENBAUM Senior Director Pobo 646-962-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-08-26 |