| NPI | 1235845009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN KULESZA Practice Owner 718-220-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-02-06 |