| NPI | 1225999824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA NOSOVA Office Manager 917-464-3720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2026-05-01 |