| NPI | 1235204447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ETKIN Medical Director 718-648-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 211343) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-12-11 |