| NPI | 1194952986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BAVLI Owner 718-869-7315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 109310-1) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |