| NPI | 1316102445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEKSANDRA KOVAL Administrative Assistant 718-234-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 203972) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-01-08 |