| NPI | 1306906110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA SMITH Patient Accts Manager 212-423-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 122300000X Dentist | |
| 1223P0106X Dentist, Oral and Maxillofacial Pathology | |
| 207N00000X Dermatology | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-25 |