| NPI | 1174695068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY COLANTONIO Owner/President 718-346-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 163260) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-02-24 |