| NPI | 1306935291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA REHMAN Administrator 718-743-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 117751) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 117751) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |