| NPI | 1326484478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ANDRE CEO 347-392-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-21 |