| NPI | 1174013551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR PEREZ President 347-201-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |