| NPI | 1144398173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS REZNICK President 718-821-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 109161) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 109161) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |