| NPI | 1326326612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ZWITIASHVILI Director 718-492-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 160217-1) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |