| NPI | 1265744197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL E MEJIA Medical Director 646-640-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 241121) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2016-10-21 |