| NPI | 1336647213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMOS G KANAKOUDAS Owner/Medical Director 646-824-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 257261) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2021-03-14 |