| NPI | 1144653072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIE AGUSTIN Owner 718-426-4562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 196473) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2018-10-19 |