| NPI | 1255636114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM CHATPAR Medical Administrator 516-931-3988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 014714) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2013-03-21 |