| NPI | 1144315169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME V TOLBERT President 212-677-1041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 127 560) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |