| NPI | 1295114536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES MIGUEL PEREIRA Medical Director 212-567-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 173568) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-09-21 |