| NPI | 1164847117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS ZARKADAS Medical Director 917-801-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 240460) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |