| NPI | 1245432483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRIGORY LEONTYEV House Officer 718-206-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 228112) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |