| NPI | 1174471593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE President 347-588-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2026-03-20 |
| Last Update Date | 2026-03-20 |