| NPI | 1306937347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALKY TENENBAUM Office Manager 718-859-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 188400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 188400) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-05-05 |