| NPI | 1265628184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL GUPTA President 718-822-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 174785) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 174785) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NY 174785) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 174785) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |