| NPI | 1245582337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BEACHER Medical Director 718-614-0405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 233994) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |