| NPI | 1235301235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY ROBERT PAUL Owner 718-604-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 179494) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-05-27 |