| NPI | 1215254933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV SHAROV Medical Director 347-492-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 255032) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |