| NPI | 1164095253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARUCH BERZON Owner 845-213-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-02-04 |