| NPI | 1194045120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURI A BIRBRAYER Medical Director 718-210-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 162525) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2014-08-21 |