| NPI | 1285462671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S GIANNIKAS CEO 718-749-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |