NPI | 1326265885 |
---|---|
Entity Type | Organization |
Authorized Contact | SERGEY LUGINA President , Medical Director 646-270-8647 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 222476) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-04-19 |
Last Update Date | 2024-07-26 |