| NPI | 1235700485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA SICHEL Chief Medical Officer 347-496-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-12-24 |