| NPI | 1215084512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FELIPE CERVANTES Owner 718-835-1056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NY 159085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 159085) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-09-26 |