NPI | 1174294490 |
---|---|
Entity Type | Organization |
Authorized Contact | RICARDO O. DUNNER President & CEO 718-809-4921 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Enumeration Date | 2021-09-26 |
Last Update Date | 2021-09-27 |