| NPI | 1215370127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T CHANG Md 917-553-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 236105) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |