| NPI | 1295032753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT B MANIEGO President/Physician 718-343-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 221557-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 221557) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2012-03-19 |