| NPI | 1215283890 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LUANE RABITO SHALEESH Medical Residency Coordinator 718-226-6205  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2012-08-01 | 
| Last Update Date | 2012-08-01 |