| NPI | 1316543085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MOSHE Medical Director 718-509-9424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |