| NPI | 1235228719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY NEWHOUSE Owner 718-891-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 083819) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-04-22 |