NPI | 1235338138 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMON LIPETZ Owner 718-275-4849 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 186190) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 458751) |
173000000X Legal Medicine (Licence: NY 107463) | |
207R00000X Internal Medicine | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2014-07-15 |