| NPI | 1144438821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PEVZNER Medical Director 718-368-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |