| NPI | 1255721924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA KOURUKLIS Practice Owner 718-347-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 244811) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-12-14 |