| NPI | 1134207194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD SHNAYDMAN Medical Director 718-424-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NY 222391) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-09-28 |