| NPI | 1134544224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE ANDREA ANDREWS Owner 646-831-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 235994) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-03-06 |