| NPI | 1134323967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANZHELA DVORKINA Medical Doctor 718-522-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 206992) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 216866) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-07-30 |