| NPI | 1316784580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIGE MILLER Authorized Official 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2026-03-26 |