| NPI | 1235304627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE FREILICH Owner 212-673-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 86598) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 214931) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-11-06 |