| NPI | 1154592160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA VALERYEVNA RODIONOVA President 718-794-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 218804-1) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-02-02 |