NPI | 1184838872 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN WILLIAM MOHRER Owner 718-575-9787 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY A151328-1) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-11-06 |