| NPI | 1154335867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE SCHIFF Director Of Billing 718-670-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208800000X Urology | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-09-11 |