NPI | 1245367416 |
---|---|
Entity Type | Organization |
Authorized Contact | VLADIMIR ONEFATER President 718-714-6995 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NY 220248) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215829) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2012-10-16 |