| NPI | 1265570402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE BENTSIANOV Owner 718-996-3360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 210753) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-09-17 |