| NPI | 1174744221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD J BAKOSS Owner 718-621-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 129319) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: NY 129319) |
| 207R00000X Internal Medicine (Licence: NY 129319) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 129319) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NY 129319) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-09-19 |