| NPI | 1184670556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CRENESSE Managing Employee 212-256-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-03-21 |