NPI | 1285465989 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYKA SAM Owner 917-588-4798 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-23 |