| NPI | 1235311887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIVERA Medical Board Director 718-270-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 197859) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 197859) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |