| NPI | 1306017843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN G. KOHUT President 718-849-0404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2021-10-05 |