| NPI | 1215280847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO-ANN SHAKARJIAN M.D 718-860-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |