| NPI | 1154770576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD JAMES CASALE Resident Physician 718-825-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |