| NPI | 1164567756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NONNA B RIVKIN Partner 718-263-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 143693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 082603) |
| 208000000X Pediatrics (Licence: NY 086487) | |
| 208000000X Pediatrics (Licence: NY 204305) | |
| 208000000X Pediatrics (Licence: NY 209494) | |
| 208000000X Pediatrics (Licence: NY 208718) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |