| NPI | 1275625428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE SERJE Owner 718-499-6099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-10-10 |