| NPI | 1275124489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINE RINVIL CEO 646-661-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-11-08 |