| NPI | 1134019110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA WU CAO 646-673-2983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2026-03-17 |