| NPI | 1215327788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJOS LAMPERTH Physcian 718-759-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY A203923-3) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |