| NPI | 1306291141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JAY GOLDSTEIN Partner 718-624-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 144545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 233117) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |