| NPI | 1215984422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FIGUEROA CFO 718-240-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2024-04-23 |