| NPI | 1336656503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARK GOLDSTEIN President 747-998-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA A31044) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |