| NPI | 1285759647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GARDENSWARTZ Office Manager 212-583-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 128389) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-09-27 |