| NPI | 1134732126 |
|---|---|
| Former Legal Business Name | ON TIME MEDICAL PC |
| Entity Type | Organization |
| Authorized Contact | YVETTE DAVIDOV Medical Director 718-997-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |