| 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 |